« Wholesale Hatred of Homosexuals: Just Another “isolated incident” | Main | Alson Ebanks - Advocate of Gay-hating Police State »

May 07, 2008

Comments

J. Flatley

Making civil servants/pensioners pay health care premiums sounds like a great idea. Until you start thinking, that is.
Their salaries are calculated to include the cost of healthcare. As not all 3,000 use the system every month this represents a substantial saving for government. The private sector sets salaries to include health care costs.
If you made civil servants pay monthly premiums you would need to increase their salaries,at a substantial cost to government,which would mean more taxation on the public to make up for the shortfall in revenue, unless you wanted to in effect cut salaries across the board to "fix things"?

________

EXCELLENT POINT. IT'S MUCH BETTER TO SIT BACK AND LET FISCAL IRRESPONSIBILITY AT ALL LEVELS RUN ITS COURSE.

I DIDN'T SAY THE MOVE WOULD BE EASY, I SAID IT WOULD BE FAIR. ASK ANY CIVIL SERVANT HOW MUCH IT COSTS TO PROVIDE THEM HEALTH "INSURANCE" AND THEY WILL NOT BE ABLE TO TELL YOU. THEY HAVE NO SENSE OF COST AND NO SENSE OF VALUE - AND NO SENSE OF WHAT THAT EFFECT HAS.

I HAVE SEEN THE DATA. IF YOU KNEW HOW MUCH THE GOVERNMENT IS BEING BILLED FOR CIVIL SERVANTS AND THE "UNDERSERVED POPULATION" YOU WOULD FLIP. AS FAR AS UTILIZATION IS CONCERNED, THE ACTUAL UTILIZATION BY THIS POPULATION WOULD BLOW YOU AWAY SO DON'T THINK FOR ONE SECOND THAT NEARLY 4,000 CIVIL SERVANTS AND THEIR FAMILIES USING THE SYSTEM ISN'T SIGNIFICANT OR COSTLY.

SAVINGS? NO PREMIUM + NO COST SHARES + NO UTILIZATION REVIEW/CONTROL DOES NOT EQUAL "A SUBSTANTIAL SAVING FOR THE GOVERNMENT" ESPECAILLY WHEN CIVIL SERVANTS GO TO OTHER COUNTRIES FOR CARE WHERE FEES FOR SERVICES ARE NOT NEGOTIATED AND NOT ALWAYS ON PAR WITH LOCAL PROVIDERS.

I WOULD ARGUE THAT HAVING CIVIL SERVANTS ACTUALLY PAY THEIR PROPORTIONATE SHARE OF PREMIUMS AND COST SHARES WOULD NOT RESULT IN "MORE TAXATION TO MAKE UP FOR THE SHORTFALL" BUT WOULD, INSTEAD, REDUCE THE SHORTFALL AND THE NEED FOR CONSTANT GOVERNMENT BAIL-OUTS.

IT WOULD CALL FOR A RESTRUCTING OF THE CIVIL SERVANT'S PAYROLL PROCEDURE - THE DECISION WOULD BE TOUGH, AND TOUGH DECISIONS AREN'T ALWAYS POPULAR; AND IT IS AN IDEA THAT GOVT HAS BEEN TOYING WITH FOR A WHILE. BUT MAKING THE TOUGH DECISION TO (ACCORDING TO THE GOVT'S MANTRA) "LEVEL THE PLAYING FIELD" WOULD RESULT IN AN HSA AND NATIONAL INSURANCE COMPANY THAT WOULD STAND A MUCH BETTER CHANCE OF ACCOMPLISHING THEIR GOALS OF BEING REVENUE GENERATORS AND NOT CASH FURNACES.

JUST SO WE'RE CLEAR, I MENTIONED NOTHING ABOUT PENSIONERS OR INDIGENT OR THE "UNDERSERVED" PAYING PREMIUMS. ONLY THE GAINFULLY EMPLOYED CIVIL SERVANTS.- rtm

I knew the former CEO Craig Brown pretty well, and was given the inside scoop of what went on at the HSA during his nano-second stint at the hospital.In his opinion, the biggest problem was the incessant meddling by the HSA board, especially that dictatorial buffoon, "Pastor AL". The learned Pastor, with no formal education or training in ANY health care related discipline (or anything else for that matter) treated the hospital management like retarded underlings and under his brilliant guidance, ran yet another CEO out of town.

There is a culture of maintaining Caymanians in prominent posts in the hospital, without having the necessary qualifications and/or work ethic to do the job. All Craig tried to accomplish was **gasp**, provide an honest set of financials and cutback on useless administrators to bring the burn down. The problem was targeted cuts were of course Caymanian, and Craig got into a pissing match with Pastor Al, learning the hard way that you can't fire Caymanians no matter how useless or incompetent, especially those who are related to politicians. The HSA doesn't require an efficient operation, hence why hire a competent CEO in the first place?

Craig obviously didn't get the memo in time about dealing with the locals.
When I found out what happened with That Gomez lady I was shocked, I saw the writing on the wall well before Mr Brown was given his walking papers. Post-mortem, We collectively asked him "WHAT THE HELL WERE YOU THINKING TRYING TO FIRING A SLEW OF CAYMANIANS"? Any ex-pat living here few years learns pretty fast the culture of "NO-CAN-DO" when canning a Caymanian.

All we have now is a "tow--the-line" collection of dullards that will continue to bleed the country dry with no coherent solutions. Pretty sad there is so much apathy, I guess when you pay next to nothing for your social programs, Caymanians don't give a toss about monstrous hospital operating losses as long as uncle Bodden still gets his dialysis for free.

________

SPOT-ON MY FRIEND. AND IN THE END THE HOSPITAL GOES FARTHER IN DEBT BECAUSE THERE IS NO REVENUE TO SUPPORT IT. THANKS FOR THE COMMENTS. - rtm

lm

My two cents.....the previous Minister of Health put in place CINICO for the right reasons but ignored the math and the concept of insurance. We cannot operate what is referred to as an insurance company that covers people that cannot get insurance, the elderly who need it most, and 3,000 Gov't workers who don't have a cost sharing mechanism and who utilize the hospital every time they sneeze. In order for CINICO to work, we need a larger demographic of healthy individuals’ premiums to offset the one's that CINICO was set up to cover. CINICO should change its focus and operate like a commercial insurance company giving all the options available by an Aetna ect. They would then get a large young healthy demographic to off set the bad. Further, if it was done on this basis, kind of like a national plan, it would solve the portability of cover issue as well as the issue of being dropped or denied cover. With all this said, HSA/Gov’t would then worry about hospital income since currently all CINIC clients have to use the hospital. Well, I strongly believe that this would work out in the end since there is always a need for a Hospital.

The comments to this entry are closed.

Blog powered by Typepad

Tip Jar

Tip Freedom

Tip Jar

Global Voices Online

View My Public Stats on MyBlogLog.com

Photo Albums

CAYMAN ISLANDS VOICE